眼科 ›› 2023, Vol. 32 ›› Issue (4): 275-280.doi: 10.13281/j.cnki.issn.1004-4469.2023.04.002

• 论著 • 上一篇    下一篇

全国眼科专科护士培训基地护士远视力检测现状调查

邢璟钰  罗明月  张丁丁  康卫娟  赵家良   

  1. 中国医学科学院北京协和医院眼科 100730
  • 收稿日期:2023-04-23 出版日期:2023-07-25 发布日期:2023-07-25
  • 通讯作者: 康卫娟, Email: kangweijuan@pumch.cn
  • 基金资助:
    北京协和医院护理科研课题(XHHLKY202118);中央高水平医院临床科研项目(2022-PUMCH-B-031)

A survey on distant visual acuity test performed by nurses in ophthalmic specialized training of China

Xing Jingyu, Luo Mingyue, Zhang Dingding, Kang Weijuan, Zhao Jialiang   

  1. Department of Ophthalmology, Peking Union Medical College Hospital, Beijing 100730, China
  • Received:2023-04-23 Online:2023-07-25 Published:2023-07-25
  • Contact: Kang Weijuan, Email: kangweijuan@pumch.cn
  • Supported by:
    Nursing Research Topic of Peking Union Medical College Hospital (XHHLKY202118); National High Level Hospital Clinical Research Funding (2022-PUMCH-B-031)

摘要:  目的 调查我国眼科护士远视力检测现状,为进一步规范远视力检测及临床护士规范化培训提供参考。设计 横断面问卷调查。研究对象 全国所有34家眼科专科护士培训基地的34位负责人及781位眼科临床护士。方法 基于标准对数视力表国家标准(GB11533-2011)设计调查问卷,并以问卷星形式进行调查,收集后对相关数据进行分析。主要指标 远视力检测培训与考核,眼科护士对标准对数视力表国家标准的知晓度,远视力测量距离、高度、光照度等。结果 21家医院(61.8%)有培训资料并进行考核;5家医院(14.7%)带教后即可操作,无培训资料及考核;8家医院(23.5%)进行考核,但无相关培训资料。31家医院(91.2%)有远视力检测的操作标准,3家医院(8.8%)没有操作标准。24家医院(70.6%)科室配有标准对数视力表的国家标准,8家医院(23.5%)科室内无此国家标准,2家医院(5.9%)不知晓此国家标准。84.6%的护士知晓此国家标准,15.4%的护士不知晓。带教后即可操作,无培训资料及考核(OR=3.93,95%CI:1.77~8.73, P=0.0022)以及仅使用一种远视力表(OR=1.84,95%CI:1.18~2.87, P=0.0072)是护士不知晓标准对数视力表国家标准的独立危险因素。结论 远视力检测规范化的护理管理水平有待提高,护士远视力检测的规范化培训尚需加强,目前亟需在全国范围内进行远视力检测操作规程的标准化构建。(眼科,2023,32: 275-280)

关键词: 眼科专科护士培训, 远视力检测

Abstract:  Objective To investigate the current status of distance visual acuity testing among ophthalmic nurses in China, and to provide a reference for further standardization of distance visual acuity testing and training of clinical nurses. Design A cross-sectional questionnaire survey. Participants 34 directors and 781 ophthalmic clinical nurses from 34 ophthalmic nursing training bases nationwide. Methods A survey questionnaire was designed based on the Chinese National Standard for the Standard Logarithmic Visual Acuity Chart (GB11533-2011). The survey was conducted using the questionnaire Star App and the collected data was analyzed. Main Outcome Measures The training and assessment of distance visual acuity testing, the knowledge of ophthalmic nurses on the National Standard for the Standard Logarithmic Visual Acuity Chart, and the distance, height, and illumination for distance visual acuity measurement. Results 21 hospitals (61.8%) had training materials and qualification test, 5 hospitals (14.7%) had no training materials and test, 8 hospitals (23.5%) had qualification test, but no relevant training materials. 31 hospitals (91.2%) had operating standards for distant visual acuity test, and the remaining 3 hospitals (8.8%) had no operating standards. 24 hospitals (70.6%) departments were equipped with standard logarithmic vision charts, 8 hospitals (23.5%) departments did not have standard logarithmic vision charts, and 2 hospitals (5.9%) did not know the National Standard. 84.6% of the nurses knew the National Standard and 15.4% did not. Operation without certification (OR=3.93, 95%CI: 1.77~8.73, P=0.0022) and only one remote vision chart (OR=1.84, 95%CI: 1.18~2.87, P=0.0072) were independent risk factors for the nurses not knowing the National Standard. Conclusion The standardized management level of distant visual acuity test of nurses needs to be improved, and the standardized training of distant visual acuity test by nurses needs to be strengthened. At present, it is urgent to standardize the operation procedures of distant visual acuity test nationwide. (Ophthalmol CHN, 2023, 32: 275-280)

Key words: training for ophthalmic nurses, distant visual acuity test